Healthcare Provider Details

I. General information

NPI: 1649194507
Provider Name (Legal Business Name): AMY M BARTH MSW LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 S WEBSTER ST STE 250
NAPERVILLE IL
60540-4560
US

IV. Provider business mailing address

2020 GLENEAGLE DR
PLAINFIELD IL
60586-8114
US

V. Phone/Fax

Practice location:
  • Phone: 815-953-2947
  • Fax:
Mailing address:
  • Phone: 815-953-2947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMY MARIE BARTH
Title or Position: OWNER/PROVIDER
Credential: LCSW
Phone: 815-953-2947